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Public Information Request

Instructions for completing this form:

• Complete the request for information below
• Be sure to enter the correct email address to ensure proper notification
• Record must be requested by individuals not groups or businesses
• Please provide your name, some sort of contact information, and a description of the information you would like from the Village
• The request is not complete until you click the Submit button

 

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email address: Leave this field email-address blank:
Homepage: Leave this field homepage blank:
URL: Leave this field url blank:
Comment: Leave this field comment blank:

Name of the Requestor*:
Telephone:
Street Address:
City:
State:
Zip Code:
Email Address*:
Do you need a certified copy?:	Need Certified Copy
Comments or Questions:*:
Verification:	12 subtract 5  =  Fill in the result